Individual provider · Type 1 NPI
Bryan L. Bolwahnn, PhD, M.P.
Prescribing (Medical) Psychologist · Ball, LA
Practice location
100 Gayven Dr
Ball, LA 71405-4903
Fax (318) 641-6118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 926MPAP (LA) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
Another provider at this address
About NPI 1043247331
Bryan L. Bolwahnn, PhD, M.P.'s National Provider Identifier is 1043247331, issued on Jun 26, 2006. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Ball, LA. The record was last updated on Oct 9, 2013.